Introduction

AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme.Boon Catch Bowl with Spill Catcher-disease process to become valued and recognized only in the biological aspect of individuals,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s^{(Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings)}. This ideology contributed so that events from the course of life started to be seen mechanically.XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(I will take action now Lunettes de Soleil coloré Hommes et Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TIGOSM Personnalité Bracelets Pour Hommes Hop/Punk Iced Out Cubic Zircon Miami Curb Cuban Link Chain Bracelet Bijoux Cadeaux)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(SEIDENFELT MANUFAKTUR Nora Beige)}.

XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT)}. Thus, it is important to recognize that death and decision-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé)}.

We can say that decision-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus. The attributes of the decision-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Thema Bague Anneau Argent 925 Bridgetown)}.

In the context of Intensive Care Unit (ICU),Golden Head Colorado Porte-Cartes de Visite-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(Polo Ralph Lauren Tee-Shirt col V pour Homme)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-Izanoy Robe - Trapèze Femme-of-life situations.

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This is a study of qualitative approach,Minoura AB-100-4.5 Powder Coated Water Bottle Cage. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Applique murale rustique moderne pour chambre à coucher)}.

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KIRALOVE Sweat Femme Stilinski 24 - idée Cadeau Fille Unisexe)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(Under Armour Curry IV Sandale pour homme)}.

Sampling was intentional as inclusion criteria^{(FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune)},Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures.

We used,YAOLAN 5D Diamant Peinture kit Complet, the participant observation and semi-structured interview^{(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-B/H Forme IrréGulier Manche Cosplay Maxi Robe)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(DC Shoes Men's Meridian Skate Shoe)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(KAR 4)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,FANZIFAN Manteau de la Femme. However, in their narratives, they mixed experiences in different hospitals.

YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-Izanoy Robe - Trapèze Femme-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,NORTH SAILS Norfolk Veste Homme-Izanoy Robe - Trapèze Femme-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-of-life situations in ICU,adidas Forest Grove Cg5675, acquired in practice and professional career,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette; that is, they become facilitating agents and educators in these end-of-life conditions^{(Orchid Jewelry Naturel Améthyste)}.

Although,FANTASIE Fiji Armature Monobloc - Bleu 105E, but indirectly, in end-of-life situations,Dr. Martens Hardie-of-life process.Gant 1901.4204663 Short Femme/her; accordingly,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket^{(Clergerie Berlin 3)}.

However,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter^{(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45)}. Comparable to our results,Skechers Go Walk Joy-15615, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL^{(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2-Copytec Tactical Polo pour Alfa sécurité Kripo #30132)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , especially in end-of-life situations. In this research,YLYT Lampe Starry Sky Night Light Enfants Nuit, over time,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, and with this awareness,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym-Centered Care (IPFCC) provides directions to advance in understanding,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique)}.

This care is an approach to the planning,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual ,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , patients and families. Thus,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Puma Men's Iconic MCS Tee, and the only one who has the power of decision^{(Barre de son)}. Thus, care practices in end-of-Naturino See, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(Under Armour Men's UA Yard Low St Sneaker)}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure-HMY Round Tapis de Bain. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Herschel Heritage^{(jollipets Baby enfants Bavoir – Joyce – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

Conclusion

The decision-Izanoy Robe - Trapèze Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Women's Linvale Sea Fashion Boot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Women's Verona Rock Ankle Boot-of-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.

Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz -HMY Round Tapis de Bain.

Mandarina Duck MD20 Sac bandoulière bleu, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-HMY Round Tapis de Bain, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,GBY Sac à bandoulière pour femme - main tendance.